Loading...
Permit III CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2023-00344 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/04/2023 TtOt�R.Ci 9 Parcel: 2S 107DA04100 Jurisdiction: Tigard Site address: 16614 SW PERTH RD Subdivision: SOUTH RIVER TERRACE PHASE 2 Lot: 96 Project: South River Terrace, Lot 96 Project Description: New detached dwelling. NO FINAL INSPECTION UNTIL DEFERRED SDC FEES HAVE BEEN PAID. BUILDING Floor Areas Required Setbacks Required Stones: 2 Bedrooms: 4 First: 781 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1094 sf Garage: 429 g sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1875 sf Value: $342,338.67 Rear: 3 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 100 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 1 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1875 Owner: Contractor: TAYLOR MORRISON NORTHWEST LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 703 BROADWAY ST STE 710 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 2 1-HR FIRE RATED EAVES PHONE: PHONE: 360-695-7700 FAX: Total Fees: $34,901.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QS9_M1_nnln thr n nap Qc9-nn1-11 Q V ma nhfain a rnnu of the rnlee nr rlirart ni iactinnc to nl ibJC by Tallinn Sfl'2 9'19 1QR7 nr 1 Rnn 119 914d 't`' 1%C Issued By: Permittee Signature: Call:3.639.4 5 by 7:00 a.m.for the next available inspection date. This permit card shall b in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential FOR OFFICE USE ONLY Received r t �Z3., �TI(1 City of Tigard ECEIVE Date/By {��►�/ Permit No MS'12 / III - • hone SW Hall Blvd.,Tigard,OR v Plan Review er/ ^� C`��' '1J-'012,13 Phone: 503.718.2439 Fax 503.598.1960 Date/By: L`J nil Other PermitJ Inspection Line: 503.639.4175 JUL Q 2023 Date Ready/By: Ed See Page 4 for TIGARD Internet www.tigard-or.gov Notified/Method !r ��• Supplemental Information ITY OF TIGARD ,1 `_ e TYPE OF 'sti'tit IING DIVISION REQUIRED DXTA:1-AND 2-FAMILY DWELLING New construction ❑ Demolition Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. 3 42 33S, (el CATEGORY OF CONSTRUCTION / ❑■ l-and 2-family dwelling j Valuation: $ ❑Commercial/industrial ❑ Accessory building ❑Multi-family Number of bedrooms: ' l.{ ❑ Master builder 0 Other: Number of bathrooms: 3 of floors: number oors: JOB SITE INFORMATION AND LOCATION TotalS Job site address: l(p�/ P/ Sa a-72,ry1 �� New dwelling area: " (, square feet City/State/ZIP:Tigard, OR, `'f' 772 tr Garage/carport arei42'Or square feet Suite/bldg./apt.no.: Project name:South River Terrace 2 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRE DATA: .IST Subdivision:South River Terrace 2_, Lot no.: 14, Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New home construction/SFU (plan type) Please defer TSDC and Parks SDC until occupancy Existing building area: square feet Project start: New building area: square feet © PROREITTY OTTNIIII I 0'Iowa Number of stories: Name:Taylor Morrison Northwest LLC Type of construction: Address:703 Broadway St. Suite 710 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360 )695-7700 Fax:( ) New: ® APPLICANT © CONTACT PERSON 1 BUILDING PERMIT FEW' Mears re fertoles s Ike r) Business name:Taylor Morrison Northwest LLC Structural plan review fee(or deposit): Contact name:Chris Roberts FLS plan review fee(if applicable): Address:703 Broadway St. Suite 710 Total fees due upon application: City/State/ZIP:Vancouver, WA, 98660 Amount received: Phone:(503 )313-9449 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES. E-mail:Permitsubmittals@taylormorrison.com Commercial and residential prescriptive installation of CONTRACTOR j roof-top mounted PhotoVoltaic Solar Panel System. Business name:Taylor Morrison Northwest LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St. Suite 710 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver,WA, 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 360 )695-7700 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Chris Roberts Date: �O (l r / 4 23 *Fee methodology set by Tti-County Building Industry Service Board. C\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-46I3T(II/02/COM/WEB) .'57 �. Mechanical Permit Application FOR OFFICE USE ONLY city of Tigard Received Pe °4�_G � ( > F t 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIVE `uBy: "�` n Review ` r 1 Phone: 503.718.2—:39 Fax: 503.598.1960 Other Per t: DateBy: Inspection Line: 503.639.4 175 y y See Page 2 for YI%iielil'J JUL 1 0 2023 Date Read /B Jar,, Internet: w�vw.tigard-or. L L VotiSed 3�4ethed I Supplemental Information TYPE OF WORK CITY OF TIGARD r. COMMERCIAL FEE,* SCHFDULE - USE CHECKLIST .BUILDING DIVISION Mechanical permit fees*are based oa the value of the work El New construction ❑ Addition/alterationirep acement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:S 10,214 CATEGORY OF CONSTRUCTION i RESIDENTAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling ❑ Commercial,/industrial ❑ Accessory building For special information use checklist 1 J Multi-family ❑Master builder ❑ Other: , Description Qty_ Ea. Total JOB SITE LNFORMATION _AND LOCATION Heating/cooling: (CO(Q (U 5 ) Air conditioning, 0 46.75 Job site address: � l Furnace 100,000 BTU(ducutvents) 1 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt no.: Project name: Ztue12 l Heat pip 61.06 F��—Z— Duct work 1 I 23.32 Cross street/directions to job site: Hydronic hot water system I 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: South River Terrace 2- 1 Lot no.: 9‘ Other. 23.32 1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 7 Flue vent for water heater or gas 1 New construction-Type SFU fireplace { 23.32 Log lighter(gas) I 23.32 , Wood/pellet stove 33.39 Wood fireplace/insert 23.32 j Chimney/liner/flue/vent t 23.32 iI El OWNER ❑ TENANT Other I 23.32 - ' Environmental exhaust and ventilation: I Name:Taylor Morrison Northwest LLC. Range hood/other kitchen 1 Address:703 Broadway St..,Ste.510 e Clothes rt 33.39 dryer exhaust 1 33.39 I City/State:1/P:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 11 I 23.32 ® APPLICANT ❑ CONTACT PERSON Other: j 23.32 I Business name:Taylor Morrison Northwest LLC. Fuel piping: S14.15 for first four;S4.03 for each additional Contact name: C H 2,5 c2.0 . its I Furnace,etc. 1 f 1 Gas beat pump Address: 703 Broadway Si,Ste 510 1 1 Wall/suspended/unit heater City/State/ZIP: Vancouver,WA 98660 1 Water heater j Phone:(360)695-7700 I Fax: : (360)693-4442 i Fireplace 1 Ranee 1 I E-mail:permitsubmittalsCtaylormorfiSon.com Barbecue CONTRACTOR Clothes dryer(gas) Other: j Business name:Pro Heating&Cooling MECHANICAL PERMIT FEES* Address: NW Alociek Dr,Ste. 1104 Subtotal City/State/ZIP:Hillsboro,OR Minimum permit fee($90.00) Plan review(23%of permit fee) Phone:(360)270-1590 Fax:( ) State surcharge(12%of permit fee) I CCB lie.:209001 I TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within 180 `^�f � 1 0 y� days after it has been accepted as complete. Authorized sigYature: � �u '� * Fee methodology set by TB-County Building Industry Service Board Print name:Elia Duran Date: C/28123 Electrical Permit Application R FOR OFFICE USE ONLY City of Tigard C^C'"�, ) Received Perm4�� E 3 -— Lf4. GV V •i Date/B , •• 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review _ Phone: 503.718.2439 Fax: 503.598.i 960 Related Permit#: n Date/B Inspection Line: 503.639.4175 JUL 1 0 2U2� Ready Date/By: luris: 10 See Page 2 for TIGARD Interne[ www.tigard-or.gov Notified/Method: Supplemental Information /.1 New construction ❑Addition/alteratiol ONGtD'VISiO t Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. :.` A/I' RY ' exceeds amps ator ❑Floating buildings. ' 10 000 150 volts ix 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or g I wi ,i ❑Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. �41 9 5t 5O `f.9 100HP or more. ❑"A„ "E„ "1 2„ :a-3„ City/State/ZIP: Tigard OR 97224 ❑Six or more residential units. occupancy. ❑Heal h-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: South River Terrace 7, ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: F i p Descri tion Qty. Each Total"�=�� New residential single-or multi-family dwelling unit. Subdivision: South River Terrace•Z Lot#: / Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add't 500 sq ft or portion 33.92 l Ts `k x e a 5;*^t"��"; tip l' l i'' 'ate, i'1 3 * v g,Siteg Limited energy,residential;� _.. . , 75.00 2 (with above sq.ft.) New home construction. Limited energy,multi-family 75.00 2 residential(with above sq.ft.) # ; tjtert x r Renewable Energy ❑ See Page 2 ` f i, ' Y i it _ a€aa.*sa``� e l =;;s "t f ,.. ,n. e>. _k Services or feeders installation,alteration,and/or relocation Taylor • •n Northwest200 amps or less 100.70 2 •• 1 Broadway 1 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Vancouver, 98660 601 amps to 1,000 amps 301.04 2 ' • •1 •• 11 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or permitsubmittals@taylormorrison.com relocation Owner installation: • being madeon property that I own which is not200 amps or less 59.36 1 intended • or exchange,accordingto ORS 447,' • 670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 -y Branch circuits—new,alteration,or extension,per panel ..vas.Ms3t'. ,4 .s, .t 1. 1 k.. -iti �:w:v; 2.'.::x,. . $x ;..rv.W,: .`#". .'3,�,u.`y`.:.XM' A.Fee for branch circuits with Business name: Taylor Morrison Northwest LLC. above service or feeder fee, each branch circuit 7.42 2 Contact name: Chris Roberts B.Fee for branch circuits without service or feeder fee,first Address: 703 Broadway St., Ste 710 branch circuit 56.18 2 City/State/ZIP: Vancouver WA 98660 Each add'I branch circuit - 7.42 2 Miscellaneous(service or feeder not included) Phone: (503 )313-9449 Fax: : ( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: permitsubmittals@taylormorrison.com Reconnect only 67.84 2 ...; f s "> ail}:.i i, ' f x .:< ., Pump or irrigation circle 67.84 2 Business name: Portland Electric Sign or outline lighting 67.84 2 Address: 1915E 5th St., Ste D Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Vancouver, WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 360)314-4915 Fax: ( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:paul@portlandelectric.biz Inspections for which no fee is 90.00/hr CCB Lic.: 194066 Electrical Lie.: C760 Suprv.Lie.: 49205 specificall listed(v hr min) Suprv.Electrician signature,required: nn Qe,,,� S' •, .. lJ1.C.C��% Subtotal: Print name: Alex Shalya Date: 6'11 f2,z3 ❑Plan Review Required(25%of permit fee): JQ� State surcharge(12%of permit fee): Authorized signature: )C.Je�L TOTAL PERMIT FEE: / 3 This permit application expires if a permit is not obtained within 180 Print name: Serpey Mishchuk Date: G 1 /707 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_Eki.doc Rev(l6/17/2015 440-4615T(1 I/05/COM/WEB kv Plumbing Permit Application Building Fixtures e C FOR OFFICE USE ONLY` illCity of Tigard RECEI :. Perm);64: f)4, ._, 'I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 3 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Inspection Line: 503.639.4175 JUL 1 0 2f 2 ate/By. TIGARD ate Ready/By: Suns: El See Page 2 for Internet: www,tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK CITY OFT GARD FEE* SCIJEDULE 0New construction 0 Demoliti$'ttuILDING CIV SION For special information use checklist Description I O '. 1 Ea. 1 Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 L�'1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 /❑`Accessory building -Multi-family SFR(3)bath 1 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: i Fire sprinkler sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14O4(ti 54x Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Drywell,Ieach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg.lapt.no.: Project name:South River Terrace Z Manufactured home utilities 50.03 - Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: South River Terrace Z. Lot no.:/cp Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New construction-Type SFU Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 trl PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Taylor Morrison Northwest LLC. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:703 Broadway St.,Ste 510 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Taylor Morrison Northwest LLC. Medical gas(value:S ) Page 2 r Primer 12.5i Contact name: Roof drain(commercial) 12.51 Address:703 Broadway St..,Ste 510 Sink/basin/lavatory 25.02 lj City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 Fax::(360)693-4442 Tub/shower/shower pan 12.51 E-mail:permitsubmittats a@polygonhomes.com Urinal 25.02 Water closet I 25.02 CONTRACTOR Water heater 37.52 Business name:G&B Plumbing&Sons Inc Water piping/DWV 56.29 Address:P.O.Box 92 Other. 25.02 City/State/ZIP:St.Paul,OR 97137 Subtotal Phone:(503)868-1417 Fax:(971)727-8170 Minimum permit fee: S72.50 Plan review (25%of permit fee) CCB Lie.: 184372 Plumbing Lic.no.:pb634 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Steve Fowler Date: t f 7 V 2 , This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t:\Bui dine\Pn nii PLMU-PetmitApp.doe 10/01/09 440-4616T(IOHI2JCOM/WEB) kL Q: Y,, V - -�'r ,�..�) `- �'-_(- ne .12-(A;1---cr loll k c f 1114 Building Division One & Two-Family Dwelling T i c a Iz n Fees Checklist PERMIT INFORMATION: Application.Date - FEE VERSION 3 l 1 Permit#: I I Vsi•zp(i, Dp 3Ld V Plan #: Li,63 itx Floors: Valuation: 'wi 12 3, f f-7 Covered Porch: Basement Bedrooms: 4 Deck: ________________ 1s`Floor 7 I WC (toilets) 3 Deck Cover: 2nd Floor L 0' Lavatories l Patio Cover 3rd Floor `l Tub/shower 3 Accessory Struct. R-3 Total t €230Z 5— Laundry Tray Water Heater \ / Gas /42110 Garage H29 Exhaust Vents (I` Gas Flue Vents — Total for Elec. 23D� Backflow Prev. �� Heat Pump /CC_) # for Electrical 3 BBQ Gas Fireplace y #Fuel Lines 3 FEES: Description: Fee Applies: Fee Entered: DC Brov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) 2,k Info Proc/Arch: Sm$.50 (up to 11x17) l' Metro CET: Residential:1_,T,se School CET: District: 1 Tigard CET: Admin Tigard CET: ODHCS Tigard CET: AH Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge ✓✓ Plumbing Permit: Permit Fee: 12% State Surcharge , / Erosion Control: w/Permit-Ping �"// I:\Building\Forms\ResPlanCheckFees_Dec2022_AA.doc 12/21/22 Page 1 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: MS17.a — o 31u Site Address: t '(Ok4 INk 90M") 12" erriified in Accela Project Name: r.dA.filkk Q v1/40- ,/�- A (N-2- Lot/Unit #: q 47 Proposal: ` <;-0\1(r�r� �1 - -V cra' Zone: r ."'CD Housing Type: Ingle Detached ❑ Duplex❑Triplex❑ADU) ❑ Rowhouse ❑Cottage Cluster❑CYU ❑Quad ❑Other Req ' ed Site Plan Elements: 3 co s of site plan on max 11x17" awn to standard scale , "� � •rt arrow Street and site trees shown / labeled i\O i e address, project name, lot # s( r rre names (N/A for SFR) (�'_ Qplicant name and phone # fa' end setback dimensions l G U ' y locations &easements 1l�h� t'F o rint of new structure and FFE ro rty corner elevations dewalk/driveway dimensioned is ur anc Lot area and lot coverage percentage Erosion control Required vation Plan Elements: (For SF Ics needed only on street-facing) Su table with calculations for: to standard scale al fagade area i "ng height dimensioned,re Total window and door area Bade dimensioned Windows and doors dimensio�eCd WA.0en Ca fired Floor Plan Elements: (Not require ❑ Summary table that includes ❑ Each story dimensioned oor area ❑ Each story floor area calculated ❑ Floor area per story Planning Review The following standards have been met: / � Setbacks ❑ Front: 1 ear: I -' Side: .S Min/Max Street Side: _/ Garage: � C Hei t ❑ Max. Height: �S, Proposed Height: 2.3' Yes Landscape ❑ Y s N/, • Screening (Quad only) es A % Window Coverage ❑ s a N/A Garage (SFR Only) Parking (Other Res) P xl L-c oeo (oA ZIP-F�t' Yes ❑ A Entrance (SFR, Rowhouse, Quad only) ❑ Yes I Other building design standards (Rowhouse only) ❑ Yes [ Accessory Structure Standards ❑ Yes No Qualifying pre-existing unit exempt from standards (Cottage unit only) Additional standards for Courtyard Units, Cottage Clusters, Rowhouses, and Quads: ❑ Yes N/A Unit Count: ❑ Yes N/A Lot Width and Size ❑ Yes N/A Pathway Additio al standards for Courtyard Units and Cottage Clusters only: ❑ Yes N/A Unit Area: ❑ Yes N/A Floor Area (per story) ❑ Yes N/A Courtyard 0 Yes N/A Fence ❑ Yes ❑ No K Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes ❑ No Applied For: ❑ Yes ❑ N o op intake Se ve Lands: ❑ Yes ,O'No _ pin-Land and Use Case #s: �l '�t✓� t - )OCC) � ��2"i�' � '� �'� ❑ Conditions met pplicant notified of land use expiratio • rink Cc5- it /Z/zC,. Approved By Planning: Date: -7-//o/ZT Notes Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: Building Permit Submittal Original Submittal Date: 1 'IA I10 VS Site Plans #: Building Plans #: Building Permit #: 'Building permit # entered op page 1 Workflow Routing: ldPlanning Engineering 'Permit Coordinator V'Building Workflow Sign-off: VSign-off for Planning (include notes from planning review) Route Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan an,d original plan review routing form. Building: original permit application, site plans, building plans, engineer and 11n^J _ beam calculations and trust details, if applicable, etc. ► Permit Technician: lI4 V,L 1y9 L,fl,t ., / G-)V �/ Date: O 17A f 2G ',I Notes: I) Engineering Review ❑ Pp Permit: lope at building pad: £2:. ,€'7' -. WConditions met prior to issuance of permit asements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑Yes [Ilo Assess Water Quantity Fee in-lieu: ❑ Yes QYlao �� LIDA Facility on lot: ❑ Yes 1Pr o Add Fee: 0 Yes ❑ No 'Final Plat Recorded 0 NOT Approved: Date: Notes: Approved By Engineering: Date: ?,/�//a Revision 1: ❑ Approved 0 N t Approved Date: Revision 2: 0 Approved ❑ Not Approved Date: Permit Coordinator Review oeonditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: 0 ENG Revisions Required: Date notified applicant: DC Exemption: ❑ Applied for ❑ Received i'ti)oes not apply DC Fees Entered: Wash Co Trans Dev Tax: CI Yes ❑ N/A Tigard Trans SDC: Yes 0 N/A Deferred Parks SDC: G Yes ❑ N/A Deferred I LIDA 0 Yes i Cr7 N/A ›glOK to Issue/Approved by Permit Coordinator: Date: Revision 1: ❑ Approved ❑ Not Approved Date: Revision 2: ❑ Approved ❑ Not Approved _ Date: City of Tigard RECEIVED Deferral Until Occupancy Request Jiff CITY OF TIGARD TIGARD Washington County Transportation Development Tax (TDT),Trai if 1 PI Mks System ' Development Charges (SDCs) This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then upon land use approval(TMC 3.24, as amended by Ordinance No. 21-09). Date: 8/14/2023 Site Address: 16614 SW Perth Rd Project South RT Phase 2 Land Use Case or Name: Lot 96 Building Permit#: MST2023-00344 Tax Lot 2S107DA04100 Total Parks #: Amount*: $9,430.00 TDT N/A Total TSDC $12,247.00 Amount: Amount*: *The total TSDC amount shown above is the sum of$ 7,917.00 for TSDC-Improvement,$457.00 for TSDC- Reimbursement,and$3,873.00 for TSDC-River Terrace,if applicable.. *The total Parks SDC amount shown above is the sum of$ 7,384.00 for Parks-Improvement, $ 2,046.00 for Parks- Reimbursement,and either$ N/A for Parks-Neighborhood or$ N/A for Parks-Neighborhood River Terrace. This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above, until occupancy. Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final inspection or issuance of an occupancy permit. TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of issuance of the building permit. For a deferral request to be accepted both the Property Owner and the Developer must sign this request. U Property Owner: Date: 8/15/23 Developer: �� �� '� Date: 8/15/23 Permit Coordinator: M Date: 8/14/2023